45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
4,796
Insurances with rates
2
CPT / HCPCS codes
1,535
Most expensive procedures (gross)
A9543
$48,085
Y-90 Zevalin Tx / 40mCi
Gross
$49,066
55292-0702-55
$38,170
hemin 350 mg INJ Soln
Gross
$38,949
64764-0300-20
$31,921
vedolizumab 300 mg INJ Soln
Gross
$32,572
69097-0870-67
$30,328
lanreotide 120 mg/0.5 mL INJ Soln
Gross
$30,946
64406-0008-01
$30,282
natalizumab 300 mg/15 mL INJ Soln
Gross
$30,900
50242-0085-27
$30,013
alteplase 100 mg INJ Soln
Gross
$30,625
00074-3683-03
$29,279
leuprolide depot 30 mg (4 month) INJ Susp
Gross
$29,877
50242-0120-47
$28,297
tenecteplase 50 mg INJ Soln
Gross
$28,874
50242-0176-01
$28,297
tenecteplase 50 mg INJ Soln
Gross
$28,874
44206-0439-40
$25,684
immune globulin (IVIG) 10%, 40 G/400 mL (Privigen) INJ Soln
Gross
$26,209
00169-7205-01
$25,436
coagulation factor VIIa 5,000 mcg INJ
Gross
$25,955
00078-0825-81
$23,575
octreotide LAR Depot 30 mg IM susp
Gross
$24,056
50242-0120-01
$22,939
tenecteplase 50 mg INJ Soln
Gross
$23,407
51759-0960-10
$21,848
risperiDONE (Uzedy) 250 mg/0.7 mL SubQ INJ Susp
Gross
$22,294
78816
$20,833
PET Image-Whole Body
Gross
$21,258
59148-0114-80
$19,811
ARIPiprazole (Abilify Asimtufii) 960 mg/3.2 mL INJ Susp
Gross
$20,215
00006-3026-02
$19,719
pembrolizumab 100 mg/4 mL INJ Soln
Gross
$20,122
78815
$18,308
PET Image-w/CT-Skull to Mid-Thigh
Gross
$18,682
51759-0850-10
$17,479
risperiDONE (Uzedy) 200 mg/0.56 mL SubQ INJ Susp
Gross
$17,835
73607-0011-11
$16,984
artesunate 110 mg INJ Soln
Gross
$17,330
50633-0120-11
$16,963
digoxin immune FAB 40 mg INJ Soln
Gross
$17,310
50474-0700-62
$16,423
certolizumab 200 mg/mL INJ Soln
Gross
$16,758
00078-0818-81
$15,743
octreotide LAR Depot 20 mg IM Susp
Gross
$16,065
78608
$15,151
PET Brain Imaging Metabolic Evaluation
Gross
$15,461
78609
$15,151
PET Brain Imaging Perfusion Evaluation
Gross
$15,461
78812
$15,151
PET Image-Skull to Mid-Thigh
Gross
$15,461
78814
$15,151
PET Image-w/CT-Limited Area
Gross
$15,461
50242-0044-13
$15,006
alteplase 50 mg INJ Soln
Gross
$15,313
59148-0102-80
$14,858
ARIPiprazole (Abilify Asimtufii) 720 mg/2.4 mL INJ Susp
Gross
$15,161
63459-0104-50
$14,418
riTUXimab-abbs 500 mg/50 mL INJ Soln
Gross
$14,713
279
$13,852
Viabahn� 5 x 25cm
Gross
$14,135
00002-7623-01
$13,788
PEMEtrexed 500 mg INJ Soln
Gross
$14,070
67457-0187-50
$13,597
allopurinol 500 mg INJ Soln
Gross
$13,875
00143-9533-01
$13,301
allopurinol 500 mg INJ Soln
Gross
$13,572
65757-0404-03
$13,091
ARIPiprazole (Aristada ER depot) 1,064 mg/3.9 mL INJ Susp
Gross
$13,358
44206-0438-20
$12,842
immune globulin (IVIG) 10%, 20 G/200 mL (Privigen) INJ Soln
Gross
$13,104
63833-0387-02
$12,581
prothrombin complex concentrate (human) 1000 units (range) INJ soln
Gross
$12,838
00069-0249-01
$12,223
riTUXimab-pvvr 500 mg/50 mL INJ Soln
Gross
$12,472
60505-6066-00
$12,166
PEMEtrexed 500 mg INJ Soln
Gross
$12,414
68001-0544-41
$12,166
PEMEtrexed 500 mg INJ Soln
Gross
$12,414
50458-0564-01
$11,864
paliperidone 234 mg/1.5 mL IM Susp
Gross
$12,106
55513-0730-01
$11,765
denosumab 120 mg/1.7 mL INJ Soln
Gross
$12,005
13533-0318-05
$11,432
rabies immune glob, human 1,500 Intl_Units/5 mL INJ Soln
Gross
$11,666
00169-7202-01
$11,368
coagulation factor VIIa 2,000 mcg INJ
Gross
$11,600
78811
$11,364
PET Image-Limited Area
Gross
$11,595
71225-0120-01
$11,165
bendamustine 100 mg/4 mL (MDV) INJ Soln
Gross
$11,393
60505-6228-00
$10,946
bendamustine 100 mg/4 mL (MDV) INJ Soln
Gross
$11,169
51759-0630-10
$10,924
risperiDONE (Uzedy) 125 mg/0.35 mL SubQ INJ Susp
Gross
$11,147
50633-0110-12
$10,906
antivenin (Crotalidae-snake ovine) polyvalent INJ
Gross
$11,129
65757-0403-03
$10,852
ARIPiprazole (Aristada ER depot) 882 mg/3.2 mL INJ Susp
Gross
$11,073
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| A9543 | Y-90 Zevalin Tx / 40mCi | $49,066 | $48,085 | — | — | 1 |
| 55292-0702-55 | hemin 350 mg INJ Soln | $38,949 | $38,170 | — | — | 1 |
| 64764-0300-20 | vedolizumab 300 mg INJ Soln | $32,572 | $31,921 | — | — | 1 |
| 69097-0870-67 | lanreotide 120 mg/0.5 mL INJ Soln | $30,946 | $30,328 | — | — | 1 |
| 64406-0008-01 | natalizumab 300 mg/15 mL INJ Soln | $30,900 | $30,282 | — | — | 1 |
| 50242-0085-27 | alteplase 100 mg INJ Soln | $30,625 | $30,013 | — | — | 1 |
| 00074-3683-03 | leuprolide depot 30 mg (4 month) INJ Susp | $29,877 | $29,279 | — | — | 1 |
| 50242-0120-47 | tenecteplase 50 mg INJ Soln | $28,874 | $28,297 | — | — | 1 |
| 50242-0176-01 | tenecteplase 50 mg INJ Soln | $28,874 | $28,297 | — | — | 1 |
| 44206-0439-40 | immune globulin (IVIG) 10%, 40 G/400 mL (Privigen) INJ Soln | $26,209 | $25,684 | — | — | 1 |
| 00169-7205-01 | coagulation factor VIIa 5,000 mcg INJ | $25,955 | $25,436 | — | — | 1 |
| 00078-0825-81 | octreotide LAR Depot 30 mg IM susp | $24,056 | $23,575 | — | — | 1 |
| 50242-0120-01 | tenecteplase 50 mg INJ Soln | $23,407 | $22,939 | — | — | 1 |
| 51759-0960-10 | risperiDONE (Uzedy) 250 mg/0.7 mL SubQ INJ Susp | $22,294 | $21,848 | — | — | 1 |
| 78816 | PET Image-Whole Body | $21,258 | $20,833 | — | — | 1 |
| 59148-0114-80 | ARIPiprazole (Abilify Asimtufii) 960 mg/3.2 mL INJ Susp | $20,215 | $19,811 | — | — | 1 |
| 00006-3026-02 | pembrolizumab 100 mg/4 mL INJ Soln | $20,122 | $19,719 | — | — | 1 |
| 78815 | PET Image-w/CT-Skull to Mid-Thigh | $18,682 | $18,308 | — | — | 1 |
| 51759-0850-10 | risperiDONE (Uzedy) 200 mg/0.56 mL SubQ INJ Susp | $17,835 | $17,479 | — | — | 1 |
| 73607-0011-11 | artesunate 110 mg INJ Soln | $17,330 | $16,984 | — | — | 1 |
| 50633-0120-11 | digoxin immune FAB 40 mg INJ Soln | $17,310 | $16,963 | — | — | 1 |
| 50474-0700-62 | certolizumab 200 mg/mL INJ Soln | $16,758 | $16,423 | — | — | 1 |
| 00078-0818-81 | octreotide LAR Depot 20 mg IM Susp | $16,065 | $15,743 | — | — | 1 |
| 78608 | PET Brain Imaging Metabolic Evaluation | $15,461 | $15,151 | — | — | 1 |
| 78609 | PET Brain Imaging Perfusion Evaluation | $15,461 | $15,151 | — | — | 1 |
| 78812 | PET Image-Skull to Mid-Thigh | $15,461 | $15,151 | — | — | 1 |
| 78814 | PET Image-w/CT-Limited Area | $15,461 | $15,151 | — | — | 1 |
| 50242-0044-13 | alteplase 50 mg INJ Soln | $15,313 | $15,006 | — | — | 1 |
| 59148-0102-80 | ARIPiprazole (Abilify Asimtufii) 720 mg/2.4 mL INJ Susp | $15,161 | $14,858 | — | — | 1 |
| 63459-0104-50 | riTUXimab-abbs 500 mg/50 mL INJ Soln | $14,713 | $14,418 | — | — | 1 |
| 279 | Viabahn� 5 x 25cm | $14,135 | $13,852 | — | — | 1 |
| 00002-7623-01 | PEMEtrexed 500 mg INJ Soln | $14,070 | $13,788 | — | — | 1 |
| 67457-0187-50 | allopurinol 500 mg INJ Soln | $13,875 | $13,597 | — | — | 1 |
| 00143-9533-01 | allopurinol 500 mg INJ Soln | $13,572 | $13,301 | — | — | 1 |
| 65757-0404-03 | ARIPiprazole (Aristada ER depot) 1,064 mg/3.9 mL INJ Susp | $13,358 | $13,091 | — | — | 1 |
| 44206-0438-20 | immune globulin (IVIG) 10%, 20 G/200 mL (Privigen) INJ Soln | $13,104 | $12,842 | — | — | 1 |
| 63833-0387-02 | prothrombin complex concentrate (human) 1000 units (range) INJ soln | $12,838 | $12,581 | — | — | 1 |
| 00069-0249-01 | riTUXimab-pvvr 500 mg/50 mL INJ Soln | $12,472 | $12,223 | — | — | 1 |
| 60505-6066-00 | PEMEtrexed 500 mg INJ Soln | $12,414 | $12,166 | — | — | 1 |
| 68001-0544-41 | PEMEtrexed 500 mg INJ Soln | $12,414 | $12,166 | — | — | 1 |
| 50458-0564-01 | paliperidone 234 mg/1.5 mL IM Susp | $12,106 | $11,864 | — | — | 1 |
| 55513-0730-01 | denosumab 120 mg/1.7 mL INJ Soln | $12,005 | $11,765 | — | — | 1 |
| 13533-0318-05 | rabies immune glob, human 1,500 Intl_Units/5 mL INJ Soln | $11,666 | $11,432 | — | — | 1 |
| 00169-7202-01 | coagulation factor VIIa 2,000 mcg INJ | $11,600 | $11,368 | — | — | 1 |
| 78811 | PET Image-Limited Area | $11,595 | $11,364 | — | — | 1 |
| 71225-0120-01 | bendamustine 100 mg/4 mL (MDV) INJ Soln | $11,393 | $11,165 | — | — | 1 |
| 60505-6228-00 | bendamustine 100 mg/4 mL (MDV) INJ Soln | $11,169 | $10,946 | — | — | 1 |
| 51759-0630-10 | risperiDONE (Uzedy) 125 mg/0.35 mL SubQ INJ Susp | $11,147 | $10,924 | — | — | 1 |
| 50633-0110-12 | antivenin (Crotalidae-snake ovine) polyvalent INJ | $11,129 | $10,906 | — | — | 1 |
| 65757-0403-03 | ARIPiprazole (Aristada ER depot) 882 mg/3.2 mL INJ Susp | $11,073 | $10,852 | — | — | 1 |
Showing top 50 of 4,796 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.